City of Pawtucket Department of Planning and Redevelopment

City of Pawtucket Department of Planning and Redevelopment

Application for Façade Improvement Program

To be completed by the Department of Planning and Redevelopment
Application #:______Application given by: ______
Date Reviewed: ______ Receipt of Additional Documentation: ______
Certified Complete Date: ______Certified Complete by: ______

1.  Project Manager:______

Address: ______

Phone #:______E-mail:______

2.  Business Owner (if different from Project Manager):______

Address: ______

Phone #:______E-mail:______

3.  Property Owner (if different from PM):______

Address: ______

Phone #:______E-mail:______

4.  Design Professional:______

Address: ______

Phone #:______E-mail:______

5.  Contractor:______

Address: ______

Phone #:______E-mail:______

6.  Address of premises:______

Assessor’s Plat #:______Lot #:______

7.  Applying for in funds from this Façade Improvement Program? $______.____

8.  Signature of Project Manager:______Date:______

(attesting to all information submitted being true and correct)

9.  Signature of Business Owner (if different from PM):______Date:______

(authorizing modifications to property they may have purchased)

10.  Signature of Property Owner (if different from PM):______Date:______

(authorizing modifications to the property)

Application Checklist

√ / Type of Document / Description
Application / Previous page
Project Description
(Project Manual) / A written narrative describing the work to be performed (provided by the Design Professional)
Economic Benefit / A written narrative describing the ways in which the project will benefit the local economy by hiring Pawtucket residents/business owners, the utilization of minority or women contractors and/or the use of local suppliers (including financing)
Environmental Benefit / A written narrative describing how this project will limit environmental degradation in material acquisition, construction, and operation
Statement of Qualifications / Documentation demonstrating that the Design Professional is qualified to design this project, see “Façade Improvement Rules and Regulations” for further guidance
(provided by the Design Professional)
Conceptual Drawings (Plans) / Drawings that visualize the end product
(provided by the Design Professional)
Construction Schedule / A timeline for when construction can start, how long each phase will take, and when it will be completed
(provided by the Contractor)
Project Budget / Estimate for the total cost of the project, including Building Permit Fee and Design Professional Fees. All construction costs shall be provided by the Contractor
Evidence of a Match / Copy of contract with Architect
Maintenance Plan / A written narrative describing how the improvements will be maintained to avoid deterioration